Individual
MS. ALISA RAY PELAEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
RT 20, QUIET DELL, WV 26408
(304) 622-6404
(304) 622-6404
Mailing address
RR 2 BOX 233B, MOUNT CLARE, WV 26408-9719
(304) 622-6404
(304) 622-6404
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1662
WV
Other
Enumeration date
09/19/2005
Last updated
07/08/2007
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